Individual provider Active NPI

Suryadutt Venkat, MD, MPH

  • Family Medicine Physician
  • Frisco, TX
National Provider Identifier
1376700039
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
U5251 Issued in TX
Practice address
5575 Frisco Square Blvd Ste 210
Frisco, TX 75034-3309
Phone
(945) 800-7803
NPI assigned
May 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X U5251 TX
Family Medicine Physician 207Q00000X U5251 TX Primary

Addresses

Primary practice location

5575 Frisco Square Blvd Ste 210
Frisco, TX 75034-3309

Mailing address

5575 Frisco Square Blvd Ste 210
Frisco, TX 75034-3309
Phone (945) 800-7803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230911000146 TX Practitioner - Family Practice 3072648344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors of Internal Medicine PAGroup PAC ID 5092750620, 27 clinicians

Practice addresses (Care Compare)

240 Adriatic Pkwy
McKinney, TX 75070-8278
Phone (972) 382-9292

5941 Dallas Pkwy
Suite 100
Plano, TX 75093-9002
Phone (972) 758-4455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors of Internal Medicine PLLC CurrentSince Jan 28, 2025 Accepting new patients

Locations

5575 Frisco Square Blvd
Ste 210
Frisco, TX 75034
Phone (945) 800-7803

5941 Dallas Pkwy
Plano, TX 75093
Phone (972) 758-4455

5941 Dallas Pkwy
Ste 100
Plano, TX 75093
Phone (972) 758-4455

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1376700039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 FRISCO SQUARE BLVD STE 210",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343309",
            "telephone_number": "945-800-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 FRISCO SQUARE BLVD STE 210",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343309",
            "telephone_number": "945-800-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENKAT",
        "first_name": "SURYADUTT",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "U5251",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U5251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.